In this study, Vespa et al sought to determine the safety of endoscopic removal of intraparenchymal cerebral hematoma (ICH) in the acute phase of hemorrhage. To that end, the authors conducted a prospective, multicenter, randomized controlled trial in academic centers in the United States. Patients were included if they had a supratentorial ICH >20 mL. Patients were randomized to endoscopic sur...

Technical advances in neurosurgery follow a general philosophy favouring less invasive means of managing surgical disease. We describe a patient with a symptomatic type I Chiari malformation managed by posterior fossa decompression using endoscopic techniques. Technical considerations, including drawbacks of the procedure, are discussed.

Symptomatic bilary obstruction with duodenal nar-rowing requires either surgical or percutaneous biliary drainage procedure. We report a 54-year-old woman suffering from carcinoma of the head of pancreas, who had combined duodenal and bilary obstruction and underwent successful endoscopic ultrasound-guided transduodenal biliary stent placement.

Introduction. The most common indications for placing a biliary stent are benign and malignant diseases that interfere with the normal flow of bile through extrahepatic ducts. This procedure carries risk developing early late complications. Case outline. We present case 63-year-old female patient admitted to our hospital additional diagnostics treatment. At admission reported onset following sy...

Perforations of the duodenum are a significant source of morbidity in clinical practice. Surgical repair is usually mandated, but it is associated with significant morbidity and mortality. Until recently, there has been no technique available which reproducibly and safely allowed endoscopic closures of penetrating defects within the digestive tract. With the new over-the-scope clipping system",...

Ultrasound-guided surgery is an area of minimally-invasive surgery where surgical procedures are performed with the aid of ultrasound imaging throghout the operation. This requires the operator to posses a certain degree of experience in endoscopic procedures, and to be adeptly skillfull in conducting US examinations. It is combining and finely tuning together these two elements that allows to ...

BACKGROUND Inguinal lymph node involvement is an important prognostic factor in penile cancer. Inguinal lymph node dissection allows staging and treatment of inguinal nodal disease. However, it causes morbidity and is associated with complications, such as lymphocele, skin loss and infection. Video Endoscopic Inguinal Lymphadenectomy (VEIL) is an endoscopic procedure, and it seems to be a new a...

OBJECTIVE Nephroureterectomy with the removal of the ipsilateral ureteral orifice and bladder cuff en bloc remains the gold standard treatment for upper urinary tract urothelial cancer. The distal ureter can be removed with the open surgical technique or endoscopic approach. We compared the outcomes of the endoscopic approach with those of conventional open surgery on the distal ureter. MATER...

Lung cancer without distant metastasis often requires an invasive surgical procedure to document inoperability. In order to determine how often puncture biopsy was a valid substitute for a surgical procedure, we investigated the performance of endoscopic staging by means of transcarinal needle aspiration biopsy during rigid bronchoscopy. Eighty lung cancer patients with subcarinal lymph nodes v...

CONTEXT Endoscopic ultrasonography is considered a highly accurate procedure for diagnosing small pancreatic tumors and assessing their locoregional extension. OBJECTIVE To evaluate the impact of endoscopic ultrasonography on the management of pancreatic adenocarcinoma in clinical practice. PATIENTS Sixty-four consecutive patients (mean age 70.5 plus/minus 11.9 years) hospitalized for stagi...